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[DOI] [PubMed] [Google Scholar] 729.Kurowska P., Mlyczyska E., Dawid M., Jurek M., Klimczyk D., Dupont J., Rak A

Patients typically present with bilateral and symmetrical enlargement of the legs, with a clear demarcation at the ankles commonly referred to as the cuffing sign while the feet and hands remain unaffected

10.1007/978-1-4419-0978-7 124 ZhangZ

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These alterations result from generation of highly reactive free radicals leading to peroxidation of membrane phospolypids rich in polyunsaturated fatty acids, particularly in conditions with increased intracellular iron and decreased antioxidant systems (namely glutathione) ( Iron plays a crucial role in the synthesis of neurotransmitters in the brain such as DA, epinephrine, norepinephrine and serotonine, and in the production of ATP in the mitochondria through the process of electron transport in an organ like the brain that requires a considerable amount of energy
